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Optimization of antifungal regimens based on site-specific pharmacokinetics-pharmacodynamics-pharmacogenomics

Research Project

Project/Area Number 21590595
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Applied pharmacology
Research InstitutionHiroshima University

Principal Investigator

IKAWA Kazuro  広島大学, 大学院・医歯薬学総合研究科, 准教授 (40363048)

Co-Investigator(Kenkyū-buntansha) MORIKAWA Norifumi  広島大学, 大学院・医歯薬学総合研究科, 教授 (30346481)
IKEDA Kayo  広島大学, 大学院・医歯薬学総合研究科, 助教 (30379911)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2010: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2009: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Keywords臨床 / 感染症 / 薬物動態 / 薬力学
Research Abstract

The present research established simple and rapid systems to determine drug concentrations for azole and candin antifungals. The research performed pharmacokinetic analyses of drug concentration data, which were obtained by measuring concentrations in plasma and biological fluids, at the target sites, of patients. Then, the research examined the relationship between pharmacokinetics and pharmaco dynamics by incorporating pharmacogenomic data(wild type, mutant heterozygous or homozygous mutant of P450) as covariates. By Monte Carlo simulation with this modeling, the research investigated the optimal antifungal regimens. Also, the research developed software technology that healthcare professionals can design the optimal antifungal regimens based on information about the patient and causative bacteria.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (21 results)

All 2012 2011 2010 2009

All Journal Article (8 results) (of which Peer Reviewed: 7 results) Presentation (13 results)

  • [Journal Article] メロペネムPK-PDソフトウェアを用いた個別的適正投与設計2012

    • Author(s)
      石原慎之, 西村信弘, 陶山登之, 玉木宏樹, 神田響, 礒部威, 猪川和朗, 森川則文, 直良浩司
    • Journal Title

      TDM研究

      Volume: 29 Pages: 53-60

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Safety analysis of liposomal amphotericin B in adult patients : anaemia, thrombocytopenia, nephrotoxicity, hepatotoxicity and hypokalaemia2011

    • Author(s)
      Shigemi A, Matsumoto K, Ikawa K, YajiK, Shimodozono Y, Morikawa N, TakedaY, Yamada K.
    • Journal Title

      Int. J. Antimicrob. Agents

      Volume: 38 Pages: 417-420

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 母集団PGx-PK-PD解析による抗真菌薬の個別的至適投与2011

    • Author(s)
      猪川和朗
    • Journal Title

      臨床薬理

      Volume: 42

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
  • [Journal Article] Safety analysis of liposomal amphotericin B in adult patients : anaemia, thrombocytopenia, nephrotoxicity, hepatotoxicity and hypokalaemia2011

    • Author(s)
      Shigemi A, Matsumoto K, Ikawa K, Yaji K, Shimodozono Y, Morikawa N, Takeda Y, Yamada K
    • Journal Title

      Int.J.Antimicrob.Agents.

      Volume: 38 Pages: 417-420

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Assessment of micafungin regimens by pharmacokinetic-pharmacodynamic analysis : a dosing strategy for Aspergillus infections2009

    • Author(s)
      Ikawa K, Nomura K, Morikawa N, IkedaK, Taniwaki M.
    • Journal Title

      J. Antimicrob. Chemother

      Volume: 64 Pages: 840-844

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Correlation between voriconazole trough plasma concentration and hepatotoxicity inpatients with different CYP2C19 genotypes2009

    • Author(s)
      Matsumoto K, Ikawa K, Abematsu K, Fukunaga N, Nishida K, Fukamizu T, Shimodozono Y, Morikawa N, Takeda Y, Yamada K.
    • Journal Title

      Int. J. Antimicrob. Agents

      Volume: 34 Pages: 91-94

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Assessment of micafungin regimens by pharmacokinetic-pharmacodynamic analysis a dosing strategy for Aspergillus infections2009

    • Author(s)
      Ikawa K, Nomura K, Morikawa N, Ikeda K, Taniwaki M.
    • Journal Title

      J.Antimicrob. Chemother 64

      Pages: 840-844

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Correlation between voriconazole trough plasma concentration and hepatotoxicity in patients with different CYP2C19 genotypes2009

    • Author(s)
      Matsumoto K, Ikawa K, Abematsu K, Fukunaga N, et al.
    • Journal Title

      Int.J.Antimicrob. Agents 34

      Pages: 91-94

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] PK-PDソフトウェアを用いたdoripenemの個別的至適投与の取り組み2011

    • Author(s)
      西村信弘, 石原慎之, 狩野芙美, 礒部威, 猪川和朗, 森川則文
    • Organizer
      第54回日本感染症学会中日本地方会学術集会・第59回日本化学療法学会西日本支部総会
    • Place of Presentation
      奈良
    • Year and Date
      2011-11-24
    • Related Report
      2011 Final Research Report
  • [Presentation] PK-PDソフトウェアを用いたdoripenemの個別的至適投与の取り組み2011

    • Author(s)
      西村信弘, 石原慎之, 狩野芙美, 礒部威, 猪川和朗, 森川則文
    • Organizer
      第54回日本感染症学会中日本地方会学術集会・第59回日本化学療法学会西日本支部総会
    • Place of Presentation
      奈良県奈良市
    • Year and Date
      2011-11-24
    • Related Report
      2011 Annual Research Report
  • [Presentation] アムホテリシンBリポソーム製剤による血液毒性の評価-投与量依存的に発現する貧血と血小板減少症-2011

    • Author(s)
      松元一明, 茂見茜里, 猪川和朗, 森川則文, 屋地慶子, 下堂薗権洋, 武田泰生, 山田勝士
    • Organizer
      第59回日本化学療法学会総会
    • Place of Presentation
      札幌
    • Year and Date
      2011-06-24
    • Related Report
      2011 Final Research Report
  • [Presentation] アムホテリシンBリポソーム製剤による血液毒性の評価-投与量依存的に発現する貧血と血小板減少症-2011

    • Author(s)
      松元一明, 茂見茜里, 猪川和朗, 森川則文, 屋地慶子, 下堂薗権洋, 武田泰生, 山田勝士
    • Organizer
      第59回日本化学療法学会総会
    • Place of Presentation
      北海道札幌市
    • Year and Date
      2011-06-24
    • Related Report
      2011 Annual Research Report
  • [Presentation] Pharmacodynamic evaluation and dose optimization of voriconazole2011

    • Author(s)
      Ikawa K
    • Organizer
      8th Symposium on New Developments in Clinical Pharmacy and Clinical Pharmacology
    • Place of Presentation
      Graz, Austria
    • Year and Date
      2011-06-04
    • Related Report
      2011 Annual Research Report
  • [Presentation] カンジダ感染症およびアスペルギルス感染症に対するミカファンギン投与法のPK-PD評価2010

    • Author(s)
      門川千夏, 猪川和朗, 野村憲一, 池田佳代, 森川則文, 谷脇雅史
    • Organizer
      第27回日本TDM学会学術大会
    • Place of Presentation
      札幌
    • Year and Date
      2010-06-27
    • Related Report
      2011 Final Research Report
  • [Presentation] カンジダ感染症およびアスペルギルス感染症に対するミカファンギン投与法のPK-PD評価2010

    • Author(s)
      門川千夏, 猪川和朗, 野村憲一, 池田佳代, 森川則文, 谷脇雅史
    • Organizer
      第27回日本TDM学会学術大会
    • Place of Presentation
      北海道札幌市
    • Year and Date
      2010-06-27
    • Related Report
      2010 Annual Research Report
  • [Presentation] アムホテリシンBおよびバンコマイシン含有骨セメントから血中への薬物放出動態:症例検討2010

    • Author(s)
      今井友香梨, 猪川和朗, 菅麻弓美, 小澄俊博, 坪島愛, 池田佳代, 森川則文, 森生美和, 堀川俊二, 金沢敏勝
    • Organizer
      第27回日本TDM学会学術大会
    • Place of Presentation
      札幌
    • Year and Date
      2010-06-26
    • Related Report
      2011 Final Research Report
  • [Presentation] アムホテリシンBおよびバンコマイシン含有骨セメントから血中への薬物放出動態:症例検討2010

    • Author(s)
      今井友香梨, 猪川和朗, 菅麻弓美, 小澄俊博, 坪島愛, 池田佳代, 森川則文, 森生美和, 堀川俊二, 金沢敏勝
    • Organizer
      第27回日本TDM学会学術大会
    • Place of Presentation
      北海道札幌市
    • Year and Date
      2010-06-26
    • Related Report
      2010 Annual Research Report
  • [Presentation] Dexamethasone reduced voricona zoleplasma level in a patient who carries CYP2C19 mutant2009

    • Author(s)
      Matsumoto K, Kondo T, Kanazawa N, Yokoyama Y, Fukamizu T, Takeda Y, Mukai M, Arimura H, Nakazaki M, IkawaK, Morikawa N, Tei C, Yamada K.
    • Organizer
      Asian Federation for Pharmaceutical Sciences 2009
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2009-10-16
    • Related Report
      2011 Final Research Report
  • [Presentation] Dexamethasone reduced voriconazole plasma level in a patient who carries CYP2C19 mutant2009

    • Author(s)
      Matsumoto K, Kondo T, Kanazawa N, Yokoyama Y, Fukamizu T, Takeda Y, Mukai M, Arimura H, Nakazaki M, Ikawa K, et al.
    • Organizer
      Asian Federation for Pharmaceutical Sciences
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2009-10-16
    • Related Report
      2009 Annual Research Report
  • [Presentation] Considerations ofmicafungin regimen for Candida andAspergillus infections based onpharmacokinetic-pharmacody namictarget attainment analysis2009

    • Author(s)
      Ikawa K, Nomura K, Morikawa N, IkedaK, Taniwaki M
    • Organizer
      49th Interscience Conference on Antimicrobial Agents and Chemotherapy
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2009-09-13
    • Related Report
      2011 Final Research Report
  • [Presentation] Considerations of micafungin regimen for Candida and Aspergillus infections based on pharmacokinetic-pharmacodynamic target attainment analysis2009

    • Author(s)
      Ikawa K, Nomura K, Morikawa N, Ikeda K, Taniwaki M.
    • Organizer
      49th Interscience Conference on Antimicrobial Agents and Chemotherapy
    • Place of Presentation
      San Francisco, USA
    • Year and Date
      2009-09-13
    • Related Report
      2009 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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